Provider Demographics
NPI:1942622253
Name:MET COUNCIL HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:MET COUNCIL HOME CARE SERVICES, INC.
Other - Org Name:MET COUNCIL CARE NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:D'VORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-453-9688
Mailing Address - Street 1:120 BROADWAY
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10271
Mailing Address - Country:US
Mailing Address - Phone:212-453-9688
Mailing Address - Fax:212-453-9639
Practice Address - Street 1:120 BROADWAY
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10271
Practice Address - Country:US
Practice Address - Phone:212-453-9688
Practice Address - Fax:212-453-9639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0990L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health